Contracting with Children's Services Agency for Foster ...



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FOR FOSTER CARE, ADOPTION AND RESIDENTIAL SERVICES

MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS)

(Revised 5-23)

|PREFACE |

|The Michigan Department of Health and Human Services (MDHHS), Children’s Services Administration (CSA), has developed this guide to assist parties interested in |

|contracting to provide Adoption, Foster Care and Residential services with CSA. This guide contains basic information only and is not intended as a comprehensive review|

|of applicable state law or MDHHS Policy. This guide also provides information you need to know about contracting with MDHHS to provide specific services to youth and |

|families. |

|INTRODUCTION |

|Thank you for your interest in contracting with MDHHS to provide Adoption, Foster Care or Residential services to youth in MDHHS care. MDHHS currently contracts with |

|over 100 licensed child placing agencies (CPA) and child caring institutions (CCI). These contracts establish qualifications, standards, services, expectations and |

|performance outcomes for our contracted partners. |

|MDHHS executes contracts based on an assessment of need. An application can be approved or denied based on an evaluation of utilization and need of similar program type|

|in a geographic area. |

|CONSIDERING THE APPLICATION PROCESS |

|Make sure you are ready to provide services BEFORE you submit an application. |

|If your agency is interested in applying for a contract with MDHHS to provide Adoption, Foster Care or Residential services to children under the supervision of MDHHS |

|your agency should ensure that it is ready to meet all of the requirements of the contract. The current contract templates may be found at |

|. Your agency may also want to talk to one or more providers who currently have a contract with MDHHS to |

|serve youth in foster care. These providers can share valuable information about their experiences and prepare your agency to care for this population. A complete list |

|of current contractors is available at the above listed link. |

|The contract requires your agency follow all MDHHS policies and policy updates. Policy and policy updates may be found at Current MDHHS Policy Manuals (). |

|Your agency and your staff will be responsible for knowing and understanding all policy and subsequent updates. |

|All providers of residential services must be compliant with the Families First Prevention Services Act and be Quality Residential Treatment Provider (QRTP) compliant. |

|If a provider is not QRTP compliant, MDHHS will NOT contract with the residential provider. |

|WHAT TYPE OF SERVICES IS YOUR AGENCY INTERESTED IN PROVIDING? |

|Child placing agency services include the following contract types: |

|Placement Agency Foster Care (PAFC) |

|Adoption (A) |

|Treatment Foster Care (TFC) |

|Independent Living Plus (ILP) |

|Child caring institution services include the following contract types: |

|Residential Foster Care Abuse Neglect (RFCAN) |

|Residential Foster Care Juvenile Justice (RFCJJ) |

|Shelter Foster Care (SHFC) |

|Definitions for all contract types may be found beginning on page 17 of this guide. |

|READINESS SELF-ASSESSMENT |

|What are the characteristics of youth your agency wishes to serve? |

|Readiness to serve the foster care population is critical to assure the safety, permanency and well-being of youth in care. Prior to requesting a contract, the |

|following questions should be fully considered: |

•

|Is your agency interested in serving only youth with basic needs (e.g., have routine needs that are expected for a youth of a given age and |  Yes No |

|level of development)? | |

|Is your agency interested in serving special populations of youth such as sibling groups, adolescents, or youth with disabilities? | Yes No |

|Is your agency interested in serving youth 16 to 17 years of age? | Yes No |

|Is your agency interested in serving young adults 18-22 years old who remain in foster care through Young Adult Voluntary Foster Care | Yes No |

|placement? | |

|Does your agency have the technical expertise and equipment to utilize the MiSACWIS system? Does your agency have the required hardware, | Yes No |

|software and security measures? | |

|If you answered no to any of the above questions, please be aware that MDHHS gives priority consideration to agencies who commit to developing services and homes for |

|children with disabilities, sibling groups and teens. |

|What resources and support systems does your agency have? |

•

|Does your agency have experienced staff and other resources to provide and maintain compliance with necessary services, administration, |  Yes No |

|business, and financial requirements? | |

|Does your agency have sufficient funding? CSA cannot guarantee the placement of youth and your agency will only receive payment after youth | Yes No |

|are placed with your agency. Payments for youth in placement can take months. Does your agency have sufficient capital (cash or line of | |

|credit) to pay all stakeholders including foster families, agency staff and operational costs? | |

|Does your agency have the support of your local MDHHS office and surrounding community? | Yes No |

|Is your agency able to comply with the contract terms? |

|Ensure that your agency has read the most current version of the contract type you wish to apply for along with MDHHS policies, as your agency will be required to |

|comply with both. Many contract and policy requirements are more stringent than the Division of Child Welfare Licensing (DCWL) rules. |

|All contracts contain performance measures. How will your agency ensure that all performance measures are met or exceeded? |

|All contracts contain liability insurance requirements. Your agency must provide proof of insurance coverage prior to contract execution. |

|When should your agency apply for an Adoption, PAFC, Treatment Foster Care or Residential contract? |

|MDHHS will only contract with a child placing agency or |

|child caring institution licensed by DCWL. |

|MDHHS will only contract with licensed DCWL child placing agencies or child caring institutions. For information regarding licensing applications and rules please go to|

|. |

|Your agency should complete the Contract Application Form located on page 7 of this handbook, AFTER your DCWL license has been issued. |

|TIMEFRAMES |

|The process outlined in this guide provides general timeframes expected, but the entire application process may take 4-6 months or longer. |

|The MDHHS department analyst (DA) responsible within the program office will review your application request and may request additional information and/or clarification|

|at any point in the process. If needed and practicable, an onsite assessment will be coordinated. |

|Submission of the Contract Application Form and Initial Review – the application will be reviewed to ensure the form has been completed and to review the license. |

|Incomplete applications will be returned to the applicant. |

|Utilization/Needs Assessment – The Utilization/Needs Assessment will take place. |

|Program Modality Assessment – This step will only be necessary for residential contract requests. |

|Review and Approval/Denial – When all the needed information is received, the DA will forward the assessment results to the supervisor of the applicable program office |

|with recommendation of approval or denial. If the supervisor gives approval the rate for services is established. All rates are standardized and established based on |

|program type and staff to youth ratios. |

|COMPLETING AND SUBMITTING A CONTRACT APPLICATION FORM |

|Carefully review and complete the Contract Application Form. Incomplete or inaccurate information may result in a delay or denial of a contract with the department. |

|If you have questions or concerns about completing the Contract Application Form, please contact Amanda Doane for Foster Care and Adoption at DoaneA@ and |

|Elizabeth Shorter for Juvenile Justice at shortere@. |

|When submitting the application form, please include the following items: |

|• An organizational chart for your agency. |

|• Accreditation Certificate(s). |

|• Program description and detailed information regarding your agency and the specific program. |

|• Resumes of senior management of your agency. |

|• Clear and concise answers to all questions. |

|Submit completed applications to DoaneA@ for Foster Care and Adoption at DoaneA@ and Elizabeth Shorter for Juvenile Justice at |

|shortere@. |

|THE APPLICATION ASSESSMENT PROCESS |

|Initial Review |

|When the application form is received, MDHHS will: |

|Determine whether the initial requirements have been met. If your agency is on a disciplinary provisional license, the request will be denied. |

|Contact the applying agency if additional information is needed. |

|Accepted applications move on to the assessment phase. |

|Assessments |

|If the application is complete and approved through the initial review a utilization and needs assessment will be completed along with a Program Modality Assessment if |

|you are applying for a residential contract. |

|Utilization/Needs Assessment – This assessment will determine the MDHHS need for this service in the specific geographical region or county identified in the |

|application. The geographic area will be assessed to determine what contracts are already established along with the rate of utilization of those contracts. |

|Program Modality Assessment – This assessment will examine the characteristics of the youth the program proposes to serve (e.g. history of sexual offenses, specific |

|mental health problems/concerns, effects of traumatic exposures) and the interventions proposed to address these concerns. Programs should provide information on the |

|strength of the evidence-based interventions they propose, the initial and ongoing training and infrastructure needed to provide the intervention with fidelity to the |

|model or models, and their plans to demonstrate quality and fidelity. To the extent that the proposed service/treatment model is expected to include additional |

|supportive services (e.g. psychological assessment and treatment, psychiatric assessment and treatment), a description of how these services will be provided and |

|integrated into the total plan of care should also be provided. |

|Establishing a Rate |

|Placement Agency Foster Care (PAFC), Adoption, Treatment Foster Care (TFC), and Independent Living Plus (ILP) rates are fixed. All contractors providing these services |

|are paid the same rate. |

|Residential Foster Care Abuse Neglect (RFCAN), Residential Foster Care Juvenile Justice (RFCJJ), and Shelter Foster Care (SHFC) programs must have a rate established. |

|All residential rates are standardized and based on program type and staff to youth ratio. |

|Award of a Short-Term Contract |

|MDHHS will award a new contractor a contract for a period of 18 months or less. At the end of this period, depending on performance, MDHHS may: |

|Amend the contract to extend the end date of the contract for a period of up to 2 years to align with other end dates of the same type of contract. |

|Not renew the contract. |

|Other Funding Sources |

|To help ensure the sustainability of operation, your agency should consider diversification of funding. As discussed previously, MDHHS cannot guarantee the placement of|

|youth with your agency, or sufficient funding to support your operation. Your agency is encouraged to raise additional support through fund-raising, donations, grants |

|or other methods that are acceptable under the terms of the contract. |

|PAYMENT |

|Prior to contract award, your agency must be a registered vendor with the State of Michigan through SIGMA VSS. To become a registered vendor please go to Welcome to CGI|

|Advantage Vendor Self Service Portal: Home () and complete all steps. Until your agency is a registered vendor your agency will not be able to enter into a |

|contract with MDHHS. |

|MiSACWIS |

|All payments are administered through the Michigan Statewide Automated Child Welfare Information System (MiSACWIS). |

|For more information on the requirements your agency must have to access the MiSACWIS system, please go to MiSACWIS Security Requirements Agreement for CCI Contracts |

|(). |

|When a youth is placed with your agency, MDHHS staff enters information about the placement into this electronic system. All casework for PAFC, ILP and TFC services is |

|performed by the contractor and tracked through the MiSACWIS system. This includes bi-weekly billing for services. |

|All contractor staff accessing the MiSACWIS system must be registered users. If your agency is approved as a contractor, more information will be sent to your agency |

|regarding steps to register users and access to the MiSACWIS system. |

|COST REPORTING AND FINANCIAL AUDIT RESPONSIBILITIES |

|Contractors are required to submit cost reports and audits to MDHHS on an annual basis. If your agency does not intend to perform this duty in house, please ensure that|

|you plan for the cost of contracting out this responsibility. |

|Your agency will be required to submit annual financial cost reports based on the state’s fiscal year which begins October 1 and ends September 30 in the following |

|fiscal year. The reports shall contain the actual costs incurred by contractors in delivering services required in the agreement to MDHHS clients for the reporting |

|period. Costs for non-MDHHS youth are not to be included. The financial reports shall be submitted annually and will be due November 30th of each fiscal year. |

|The Contractor shall have an annual financial statement audit conducted by an independent certified public accountant. Audits must be conducted in compliance with |

|Generally Accepted Auditing Standards (GAAS). |

|If your agency does not comply with the Cost Reporting and Financial Audit requirements, one or all of the following may occur: |

|Your agency may be placed on a payee hold, which means your payments will be held until your agency complies with the requirement. |

|Your contract may be terminated. |

|PERFORMANCE MEASURE REPORTING |

|Most performance measure data can be obtained through MDHHS systems. In cases where the measures are only available through the contractor, adequate time will be given |

|to the agency to collect the required data and report to MDHHS. |

|CONTRACT MONITORING |

|All contracts are monitored by DCWL and the Bureau of Audit. During the DCWL Compliance Review and any Special Investigation, the terms of the contract will also be |

|reviewed for compliance. DCWL and the Bureau of Audit may review, analyze and comment on all activities covered within the terms of the contract or court order. |

|Findings of noncompliance require the contractor to develop corrective action plan(s) to correct the rule/contract violation. Based on the severity or repeated nature |

|of cited violations, a recommendation may be made to place a moratorium on new placements or terminate the contract. |

|Failure to comply with all DCWL Rules and contract language |

|may result in a placement moratorium or contract termination. |

|CONTRACT TERMINATION |

|Your agency contract could be terminated for reasons which include, but are not limited to: |

|Mutual Agreement - Your agency and MDHHS mutually agree to terminate the contract for any reason. There will usually (but not always) be a 30-day written notice |

|provided from one party to the other. |

|Expiration of the Contract – Your initial contract is expiring and MDHHS decides not to renew your contract. |

|Failure to Perform – MDHHS terminates your contract for reasons which include: |

|(( Your agency fails to provide services according to contract requirements. |

|(( Your license is suspended or revoked by DCWL. |

|(( Your agency is found liable for fraud. |

contract application

MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS)

Children’s Services Administration

| |

section 1

|AGENCY NAME |Date |

|       |      |

|Agency Main Address |City |State |Zip Code +4 |

|      |      |      |      |

|Location Program Name |

|      |

|Location/Site Address |City |State |Zip Code +4 |

|      |      |      |      |

|DCWL License Number |Federal ID Number |SIGMA Customer Number |

|      |      |      |

|Agency Contact Name |Phone Number |Email Address |

|      |      |      |

|Organization Type |

|Private, non-profit Private, Proprietary Public Native American Tribe |

|Attach the Standard Accord form from your liability insurance policy. |

|Included Not included (if not included, indicate why)       |

|Type(s) of Contract Requested |

| Adoption | Shelter Foster Care | Independent Living Plus |

|Foster Care |Residential Abuse/Neglect |Residential Juvenile Justice |

|Treatment Foster Care | | |

|If contracting with Residential Foster Care Juvenile Justice, what is the facility’s security level? |

|Secure Non-Secure |

section 2 – residential applications only

|IS THIS FACILITY USED FOR ANY OTHER TYPE OF YOUTH THAN THE CONTRACT TYPE REQUESTED? |  YES NO |

|Does this location have any other residential contracts with MDHHS or any other entity? | Yes No |

|Is the residential program QRTP compliant? | Yes No |

|Number of beds requested to be contracted |Proposed staff to youth ratio during awake hours |Proposed staff to youth ratio during sleeping hours |

|      |      |      |

|Age Range |Sex (at birth including gender identity) |

|      |Male Female |

|Program Category (see program definitions at the end of this document) |

|  Cognitively Impaired and Developmentally Disabled | Mental Health and Behavior Stabilization |

|General Residential |Parent/Baby |

|Human Trafficking Survivor |Specialized Developmental Disability |

|Intensive Stabilization |Substance Use Rehabilitation |

|Youth with Problematic Sexualized Behaviors | |

| |

section 3 – all applicants must answer the following questions

|1. EXPLAIN THE NEED IN YOUR COUNTY FOR THIS SERVICE. |

|       |

|2. Has your agency contacted the local county MDHHS director to see if there is a need for this service in the county? Who, when and outcome? |

|      |

|3. How many staff does your agency employ? Direct Care vs. Administrative? |

|      |

|4. What experience does your staff have in working with MDHHS youth? |

|      |

|5. Describe the experience your staff has in working with abuse/neglect or juvenile justice youth. |

|      |

|6. Describe your agency’s ability to meet the terms of the contract and policy expectations. |

|      |

|7. How does your agency plan to be able to provide all necessary contracted services? |

|      |

|8. What aspects of the contract or policy give your agency concern? |

|      |

|9. Describe your agency’s experience working the non-MDHHS youth. |

|      |

|10. How long has your agency been providing these services? |

|      |

|11. Have you ever owned a similar business before? Yes No |

|If yes, what services did you provide and describe the outcomes achieved for the population served. |

|      |

|12. Describe your experience in operating and managing a similar business. |

|      |

|13. Describe your agency plan to have adequate revenue to pay foster families, staff and operating expenses while waiting reimbursement from MDHHS. |

|      |

|14. How familiar is your agency with Michigan Statewide Automated Child Welfare Information System (MiSACWIS) and the billing procedures with that system? |

|      |

|15. How familiar is your agency with the Juvenile Justice (JJ) functionality in MiSACWIS? |

|      |

|16. Has your agency reviewed all applicable MDHHS policies on Adoption, Foster Care and Residential Care? Yes No |

|17. How does your agency plan on achieving each of the performance measures outlined in the contract? |

|      |

|18. Describe the space and personnel in your agency office/facility to facilitate family visits. |

|      |

|19. Describe how your agency plans to provide and maintain compliance with necessary services, administration business and financial requirements. |

|      |

section 4 – All potential PAFC, Adoption, Treatment Foster Care, or Independent Living Plus private agencies must answer the following questions.

|1. DESCRIBE YOUR AGENCY EXPERIENCE IN RECRUITING, LICENSING AND RETAINING FOSTER/ADOPTIVE HOMES. |

|       |

|2. Does your agency currently have licensed foster/adoptive homes ready to accept MDHHS youth? |

|Yes No |

|If yes, how many? How many of these homes specialize in sibling groups, adolescent or youth with disabilities? If no, describe your agency plan to recruit. |

|      |

|3. Is your agency interested in serving youth 16-18 years of age? Yes No |

|4. Describe county goals for foster care recruitment and retention for the county in which your agency is interested in providing services. |

|      |

|5 How will your agency commit to recruiting specialized homes? |

|      |

|6. Have all your agency staff/supervisors completed the child welfare training required by the contract? |

|Yes No |

|If no, describe your agency plan to have all staff trained according to the contract specifications. |

|      |

section 5 – All potential Residential private agencies must answer the following questions.

|1. HOW MANY STAFF WORKS DIRECTLY WITH THE YOUTH IN THIS PROGRAM? |

|       |

|2. What is the rate of turnover for direct care staff at your agency? |

|      |

|3. What is the proposed average daily capacity of this program? |

|      |

|4. What is the proposed staff to youth ratio for this program during awake hours? What is the proposed staff to youth ratio during sleeping hours? |

|      |

|5. What local opportunities and collaborations has your agency cultivated for youth? |

|      |

|6. What is the anticipated average length of stay for youth in this program? |

|      |

|7. What is your agency plan to ensure sibling visits and to maintain family connections? |

|      |

|8. How will your agency ensure family connections are maintained? |

|      |

|9. How will your agency facilitate and participate in permanency planning? |

|      |

|10. What is your plan to involve CMH services for youth at your facility? |

|      |

|11. List the assessment tools your agency intends to utilize and why. |

|      |

|12. Do you have a psychologist or psychiatrist on staff? If no, how will you meet the criteria for the mental health requirements for this population? |

|      |

|13. Describe how you will recruit, hire and train staff who will work daily with this specialized population. |

|      |

|14. Describe the community and CMH services available to youth in the community. |

|      |

|15. Is your agency accredited by one of the following accreditation bodies? | Yes No |

|If Yes, which one? (Submit accrediting certificate with this application) |

|Council on Accreditation (COA) |

|The Commission on Accreditation of Rehabilitation Facilities (CARF) |

|Joint Commission on Accreditation of Health Care Organizations (JCAHO) |

|Educational Assessment Guidelines Leading Towards Excellence (EAGLE) |

|Teaching Family Association (TFA) |

|If No, are you currently in the process of being accredited? | Yes No |

|If Yes, what is the anticipated accreditation date? |      |

|16. Does/Will your residential location have 24/7 access to nursing care? | Yes No |

|If Yes, are they located on campus/property or contracted from a community source? |

|On campus/property |

|Contracted Community Resource |

|17. Does/Will your residential location have 24/7 access to licensed clinical staff? | Yes No |

|If Yes, are they located on campus/property or contracted from a community source? |

|On campus/property |

|Contracted Community Resource |

|18. Has all residential staff been fingerprinted with their criminal records checked? | Yes No |

|19. How will you ensure families, caregivers, and/or supportive persons are engaged in treatment with a youth who enters your program? |

|      |

|20. Describe your proposed aftercare program within framework provided by the department. |

|      |

|21. How do you plan to incorporate the strengths, needs and goals identified in the assessment provided by the third party, independent assessor, in the youth’s |

|treatment plan? |

|      |

|22. For proposed JJ programs, how familiar is your agency with the Prison Rape Elimination Act (PREA) Juvenile standards and is your facility currently in compliance? |

|      |

section 6 – trauma informed practice

FOR EACH ELEMENT, IDENTIFY THE IMPLEMENTATION PHASE THAT THE CHILD CARING INSTITUTION IS IN (PRE-IMPLEMENTATION, IMPLEMENTATION, SUSTAINABILITY) AND IDENTIFY PRACTICES THAT DEMONSTRATE ALIGNMENT WITH THAT ELEMENT. PROVIDE THE PLAN AND TIMEFRAME TO REACH THE NEXT IMPLEMENTATION PHASE OR REMAIN IN SUSTAINABILITY.

|Governance and Leadership: The program statement outlines leadership support and investment in implementing and sustaining a trauma informed approach. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Hiring and Orientation Practices: Hiring, new-hire orientation and other human resource practices are conducted in ways that are trauma-informed and trauma sensitive. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Training and Workforce Development: Training provides ongoing trauma-informed education and training to all levels of the workforce. Must implement organizational |

|structures to help support workers and increase workforce awareness of how to prevent and manage secondary traumatic stress. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Establishing a Safe Environment: There is a deliberate effort to make the physical space and culture/atmosphere trauma-informed and trauma-sensitive. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Screening for Trauma: Must have tools and follow up structures in place to screen for trauma when determined to be necessary. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Treating Trauma: Must have on site trauma specific treatment interventions or a process for making referrals for trauma interventions/treatment. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Collaborating with Others (Partners and Referrals): Collaboration with partner organizations/systems on understanding trauma and the underlying values of a trauma |

|informed approach. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Review Policies and Procedures: Must have a process in place for reviewing policies, procedures and protocols, and ensuring that they are written and conducted in a way|

|that is trauma informed. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

|Evaluating and Monitoring Progress: Must have a process in place to evaluate and monitor trauma-informed organization change, as well as the impact on the organization |

|in relation to outcomes. |

|Implementation Phase |       |

|Identifying Practices |      |

|Plan and Timeframe |      |

section 7 – agency practice

|1. WHAT IS YOUR AGENCY DOING TO ENSURE THAT STAFF, VOLUNTEERS, AND CONTRACTORS UNDERSTAND THAT A YOUTH MAY NOT PRESENT AS THE WAY THEY IDENTIFY AND RESPECT HOW A YOUTH |

|IDENTIFIES? |

|       |

|2. What is your agency doing to ensure the safety of a youth that may not present as the way they identify? |

|      |

section 8 – county director

|THE COUNTY DIRECTOR WILL PROVIDE STATISTICS RELEVANT TO THE TYPE OF CONTRACT REQUESTED AND THEIR COUNTY DATA. |

|The following questions will be answered by the MDHHS county director in the county where the program is being requested. |

|1. Has this agency contacted you regarding placements or a contract? |  Yes No |

|2. Do you need this type of service and/or beds in your county? | Yes No |

|3. How would this contract impact the service array in your county? |

|      |

|4. If this agency is granted a contract would your county utilize the service offered? Why or why not? |

|      |

|Notes from the county director |

|      |

|County Director Name |Phone Number |

|      |      |

section 9 – division of child welfare licensing

THE FOLLOWING QUESTIONS WILL BE ANSWERED BY THE DCWL CONSULTANT.

|1. Has the agency received their CPA or CCI license? |  Yes No |

|If yes, when was it issued?       |

|How long did it take for the agency to obtain their license once the application was received? |

|      |

|Is this length of time out of the norm?       |

|If no, when do you anticipate it will be issued?       |

|2. Does the agency have the computer abilities, and required hardware, software, etc. to communicate effectively and to complete all | Yes No |

|necessary casework with MDHHS? | |

|Comments |

|      |

|3. Do you believe the agency is well equipped and has the experience at this time to provide the necessary services to enhance the lives of | Yes No |

|the MDHHS children it would serve? | |

|Comments |

|      |

|DCWL Consultant Name |Phone Number |

|      |      |

|The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group on the basis of race, national origin, color, sex, |

|disability, religion, age, height, weight, familial status, partisan considerations, or genetic information. Sex-based discrimination includes, but is not limited to, |

|discrimination based on sexual orientation, gender identity, gender expression, sex characteristics, and pregnancy. |

(DO NOT TYPE BEYOND THIS POINT)

CPA PROGRAM DEFINITIONS

ADOPTION

Provides adoption services for permanent wards (Title IV-E funded) or Michigan Children’s Institute (MCI) wards. Services include recruitment, orientation and training of families’, placing with identified families; pre-placement activities; utilization of Michigan Adoption Resource Exchange (MARE); and all other duties associated with finalizing an adoption of permanent and MCI wards.

Placement Agency Foster Care

Provides foster care services to youth and families for youth who have been removed from the home and MDHHS is responsible for the youth’s care and supervision or a youth who, by family court, has been returned home in a trial reunification arrangement. Services include recruitment and retention of foster homes and all required services to youth and families to work toward the goal of the case.

Treatment Foster Care

Treatment Foster Care (TFC) is a family-based service that provides individualized treatment for youth and their families. TFC services are directed towards diverting youth from placement in a residential setting or assisting youth after discharge from a residential setting. The treatment foster family is viewed as the primary focus of intervention with youth in their care. It is a family setting that seeks to integrate with, rather than replace treatment services provided outside of the home. Treatment will be delivered through service interventions provided by treatment foster care program staff and external resources with the youth, identified permanent placement (including parents when reunification is the permanency planning goal) and treatment foster parents.

Independent Living Plus

Independent Living Plus (ILP) is a limited intervention to meet the youth’s specific ILP needs and goals until he/she is able to step down to the less restrictive environment foster care general independent living offers. ILP provides staff supported housing and services for youth aged 16 through 19 whom, because of their individual needs and assessment, are not initially appropriate for general independent living foster care. These youth may have a demonstrated history of unsuccessful foster care placements. This program is also designed as a post-placement resource for youth in which all of the following apply:

a) Youth leaving residential foster care who cannot return home.

b) Youth who cannot be placed into a family foster home.

c) Youth for whom adoption is not planned.

d) Youth who have demonstrated a capacity for and willingness to learn independent living skills in a supervised, structured environment.

CCI PROGRAM DEFINITIONS

GENERAL RESIDENTIAL PROGRAM

The General Residential Program provides a discharge-focused, interdisciplinary, psycho-educational, and therapeutic 24-hour-a-day structured program with community linkages, provided through non-coercive, coordinated, individualized care, and interventions with the aim of moving individuals toward a stable, less intensive level of care or independence. Interventions should be evidence-based and include trauma-focused interventions.

Cognitively Impaired & Developmentally Disabled Program

Services for youth with developmental disabilities consist of individualized services that include structure and support in mastering activities of daily living, developing positive self-protective skills, community integration, behavior plans and interventions, including mental health treatment as needed. Services are designed and delivered to engage the client at his or her level of functioning. Residential providers support youth in their treatment, school programs, adult transition planning, transition planning to a less restrictive placement and, when it is a part of the youth’s individual plan, preserving connection with their families. “Intellectually disabled” is defined as mild to moderate (IQs 45 to 69) intellectually impaired youth with or without substance use or dependence symptoms. This also includes youth with severely or profound cognitive impairments (IQ below 45), those with classic autism spectrum disorder that exhibit severely restricted functioning levels, and severely multiply impaired, which includes those with a combination of cognitive and physical impairments, and may also include mental and/or emotional impairments. Developmentally disabled individuals have been diagnosed with a mental disorder which significantly impacts their adaptive functioning and ability to care for themselves and generally is considered a lifelong condition.

Mental Health & Behavior Stabilization Program

The Mental Health and Behavior Stabilization (MHBS) Residential Care program provides more intensive youth supervision, structure, environment, and treatment intervention. The Mental Health and Behavior Stabilization Program provides for the application of a comprehensive array of services that include psychiatric and clinical assessments and evaluations and corresponding interventions designed to stabilize and treat the conditions of mental health/behavioral instability. Level of service intensity is tailored to and based on the needs of the youth and the youth’s diagnosis at the time of intake and ongoing progress in the program.

Behaviors of a youth currently experiencing or with a history of MHBS may include among others: aggressive behavior towards self and others, psychotic symptoms (delusions, hallucinations, suicidal/homicidal ideations), sexually aggressive behavior, and/or frequent severe emotional instability. Additionally, the youth may not agree with taking their medication and/or medication may not have resulting behavioral stability.

Parent/Baby Program

The Parent/Baby Residential Program provides a discharge-focused, interdisciplinary, psycho-educational, and therapeutic 24-hour-a-day structured program with community linkages, provided through non-coercive, coordinated, individualized care, and interventions with the aim of moving individuals toward a stable, less intensive level of care or independence. Interventions should be evidence-based and include trauma-focused interventions. The Parent/Baby Program shall offer an intensive array of services to meet the short term and longer term needs of pregnant and parenting youth in the Michigan child welfare system. Research has shown that successful programs incorporate three elements that offer a pregnant or parenting youth the supports needed to succeed: socialization, nurturing and support, structure and discipline. To best support pregnant and parenting youth in Michigan, the program shall be designed as a continuum of care approach. The continuum may consist of three levels. Level 1 is highly structured with 24-hour supervision. Level 2 is a step down to a less restrictive living situation where the level of supervision is decreased and the youth obtains more responsibility for managing their own money. Level 3 includes a step to a less restrictive non-residential setting. The tiered level approach encourages youth participation and investment in the program while working on their long-term goal of being self-sufficient.

The Parent/Baby Program service delivery can be offered in several different modalities. Ideally, the program must provide a continuum of services to allow the youth to transition from a residential/group home setting to a non-residential setting. The approach should include supervision, staffing, home settings, and basic program standards that teach and support positive parenting.

Youth with Problematic Sexualized Behaviors

A youth with sexualized behaviors program uses a bio-psychosocial approach to address the symptoms of compulsive behaviors, Post Traumatic Stress Disorder (PTSD), and childhood sexual and/or non-sexual abuse. The contractor shall provide individualized treatment plans in a variety of evidence based modalities. Therapeutic approaches may include Cognitive-Behavioral Therapy (CBT), experiential therapies, psycho-educational presentations, psychopharmacological interventions, family systems theory, and integrative therapies. Treatment approaches are gender specific and age appropriate. Treatment options for residents with aggressiveness, attachment problems, sadistic behaviors, grief and loss issues, and impulse control problems are included in the residential program. Skills training in aggression replacement, anger management, social skills, activities for daily living, coping skills, and communication skills shall be provided.

Substance Use Rehabilitation Program

Comprehensive arrays of services to address substance abuse, prevent substance use, and support recovery. Interventions are co-occurring, capable, and address the full range of related issues including recognizing the harmful effects of chemicals on the child; developing skills to avoid chemical use; identifying alternate methods of meeting the needs previously met by chemical use; achievement and maintenance of sobriety or abstinence; health and mental health needs; counseling and/or psychotherapy; education; improved social, emotional, psychological, cognitive, and vocational functioning.

Shelter Foster Care

The emergency shelter program (30-day limit) is available to youth who are unable to be placed in a family foster home and need temporary placement due to at least one of the following factors:

a. Presents at removal significant behavioral challenges or other complex factors requiring a comprehensive assessment to either reunify or select an out-of-home placement.

b. Currently be on a waiting list for a long term residential program.

c. Be in the process of stepping down from hospitalization.

d. Have a documented severe score on the Mental Health and Well-Being item on the Child Assessment of Needs and Strengths within the past 90 days and have repeated placement instability and a more thorough assessment is need to either reunify or make a stable next placement.

The provider shall accept all youth referred 24 hours per day, 7 days per week, 365 days a year. The provider shall not reject or eject any eligible youth referred for placement.

The focus of the shelter program is to:

a. Provide a safe residential environment in which youth who have been removed from their home can be evaluated for services.

b. Provide an evaluation of the appropriate placement for a youth to ensure that appropriate information is obtained in order to facilitate service planning and placement stability.

Specialized Developmental Disability

The Specialized Developmental Disability program provides enhanced residential treatment to youth with intensive and specialized service needs related to developmental disabilities, including Autism, and intellectually disabled youth, who have deficits in social communication skills, sensory activity, and a limited ability to conduct daily living tasks without intensive supports.

Specialized Developmental Disability – Autism

This program designation is targeted at providing specialized services for youth with an autism diagnosis and in need of heightened programming.

Intensive Stabilization

The Intensive Stabilization program provides a therapeutic environment for youth who are in current crisis or have not been able to maintain stabilized behavior. This program offers intensive specialized services in a trauma-informed short-term program. The intent of the program is to stabilize crisis while diagnostic services and supports are provided to meet the short-term treatment goals of the youth and has a lower staff to youth ratio than other residential programs. The program will help identify short and long-term treatment goals, community supports, and secure an appropriate living situation for youth which will allow the youth to return to a community-based setting as soon as possible.

Human Trafficking Survivor

The Human Trafficking Survivor program provides therapeutic intervention and stabilization environment for youth who are in crisis due to sex or labor trafficking or other severe forms of sexual exploitation. This program provides intensive, trauma-informed behavior health stabilization services focused on youth who are typically rescued from trafficking situations. The intent of the program is to stabilize the youth while diagnostic services, supportive relationships and treatment goals are established. The anticipated length of stay could be from three to nine months depending on the familial relations, youth needs and relationship to the trafficker. The program team implements crisis and safety care plans as well as identify short and long-term treatment goals. Preparation towards community reintegration will be contingent upon development of community supports and an appropriate living situation.

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